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UICC World Cancer Congress 2006

Bridging the Gap: Transforming Knowledge into Action

July 8-12, 2006, Washington, DC, USA



Monday, 10 July 2006 - 12:00 PM
85-57

Multiple life style behavior change: Can it be done?

Hein De Vries, PhD1, Tamara Smeets, MPH1, Stef Kremers, PhD1, Hans Brug, PhD2, Jeroen K. Vermunt, PhD3, and Jonathan Van 'T Riet, MSc1. (1) Department of Health Promotion and Health Education, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, Netherlands, (2) Department of Public Health, Erasmus University Rotterdam, Dr. Molewaterplein 40, Rotterdam, Netherlands, (3) Department of Methodology and Statistics, University of Tilburg, Tilburg, Netherlands

Objective:The purpose of this paper is to present the data of two studies in order to test the feasibility of a multiple lifestyle approach to reduce cancer risks.

Methods: Study 1 analyzed the effects of a RCT analyzing the impact of a multiple lifestyle computer tailored feedback system in order to stimulate adults to adopt a healthy lifestyle consisting of non-smoking, sufficient physical activity and the consumption of sufficient fruits and vegetables, and the reduction of fact consumption. The tailored intervention group received three print tailored letters and the generic information group received three print generic letters. Study 2 analyzed whether it is likely to change smoking behaviour within a multiple life style approach using Latent Class Cluster Analysis.

Results: Study 1 found significant treatment effects were after one year on the reduction of fat, fruit and vegetables consumption, and for increased physical activity. No significant effects were found for smoking. Study 2 showed that alcohol and smoking should be regarded as a separate health cluster.

Conclusions: A multiple life style approach may need to consider the fact that different clusters of health behaviors may exist, and that the readiness for change within the population may differ from cluster to cluster. This requires a step-wise tailored approach instead of a simple tailored approach.


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